go back

California rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $6,165.95 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $8,511.38 / $15,488.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $812.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,570.40 / $6,918.31
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $2,344.23 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $851.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $436.52 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $851.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $11,220.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,235.94 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $478.63 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $446.68 / $933.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $9,549.93 / $20,892.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $758.58